Physiotherapy clinical reasoning blog
Evidence-based articles on assessment, differential diagnosis, red-flag screening, and rehabilitation.
A reasoning-led guide to the shoulder special tests that actually move the needle in clinic - clustered by suspected pathology, with sensitivity, specificity, and how to interpret results.
Modern ACL rehab is criterion-based, not time-based. A phased framework - from early protection to return-to-sport testing - with the milestones that should gate progression.
SNNOOP10 is the ICHD-3 endorsed mnemonic for screening secondary headache. A practical breakdown of each category - what to ask, what to observe, and when to refer.
Cauda equina is a surgical emergency that physiotherapists are often first to suspect. A practical screen - what to ask, what to test, and exactly when to escalate.
Up to 70% of lateral ankle sprains recur or progress to chronic instability. A phased, criterion-based rehab framework that closes the gap between symptom resolution and true return-to-sport readiness.
Patellofemoral pain is common, recurrent, and frustrating. A pragmatic assessment-and-rehab framework built on the best current evidence - what to do, and what to stop wasting time on.
Tennis elbow is a load-management problem, not an inflammatory one. The modern rehab approach - isometrics, heavy slow resistance, and patient education - with what the evidence actually supports.
Shoulder impingement is a syndrome, not a diagnosis. A reasoning-led assessment framework - from subjective screening through special test clusters to differential diagnosis - with the pitfalls that lead clinicians astray.
Serious spinal pathology is rare but high-stakes. A practical, evidence-based framework for screening low back pain red flags - by category, with the clusters that should change your decision and when to escalate.
A practical, clinician-written guide to the TMJ exercises that actually help - relaxation, controlled opening, stretching, and isometrics - plus when to progress and when to refer.
A plain-English explanation of cervical radiculopathy - what a pinched neck nerve actually is, why it happens, the symptoms it causes, and how it is diagnosed.
Recovering from a pinched neck nerve is partly about what you stop doing. Here are the movements, postures, and common mistakes to avoid with cervical radiculopathy.
A practical, evidence-based pathway for treating cervical radiculopathy - from early pain control and graded exercise to nerve mobilisation and when to escalate care.
Diffuse or pinpoint? Eases with warm-up or worsens through the run? Six discriminators that separate medial tibial stress syndrome from a tibial stress fracture - plus the hop and fulcrum test clusters and clear imaging thresholds.
Clinical reasoning is learned, not memorised. Here are practical, evidence-informed ways physiotherapists can build sharper decision-making through deliberate practice.
Case studies are the closest thing to clinical practice you can rehearse safely. Here's why they build better decision-making than textbooks alone.
Differential diagnosis is how physiotherapists narrow many possible causes to the most likely one. A beginner-friendly framework with practical examples.
AI can scale deliberate practice and feedback for physiotherapy learners - but it does not replace educators, placements, or hands-on skills. A balanced look.
A practical, evidence-based exercise guide for patellofemoral pain syndrome - hip and knee strengthening, load management, and running return criteria.
Freezing, frozen, thawing - each stage of adhesive capsulitis needs a different treatment priority. A clinician-facing guide to staging, differential diagnosis, and stage-matched physiotherapy.